Talk:Impetigo

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[edit] Tea Tree Oil?

I requested a citation for the statement "An alternative treatment is the application of tea tree oil diluted 1:10 with a carrier oil." This may well be true, but I can't find any such reference in the external links, nor in the article on tea tree oil itself. — VoxLuna ^(talk)  01:38, 14 January 2007 (UTC)

[edit] Bacteria involved

according to the aafp (American Academy of Family Physicians) - "Nonbullous impetigo was previously thought to be a group A streptococcal process and bullous impetigo was primarily thought to be caused by S. aureus. Studies16,17 now indicate that both forms of impetigo are primarily caused by S. aureus with Streptococcus usually being involved in the nonbullous form" http://www.aafp.org/afp/20020701/119.html (dr. yair tsruya MD)

According to Prodgidy, emedicine and my medical text books while the bullous form is caused almost exclusively by Staph. Aureus the nonbullous form can be caused by Staph. Aureus, Step. Pyogenes or a combination of both. http://cks.library.nhs.uk/impetigo/in_depth/background_information quotes a paper Watkins (2005) which claims that step.pyogenes is responsible for 10% the cases of nonbullous impetigo in the UK. I suggest that the American Academy of Family Physicians quote could mislead on this point.—Preceding unsigned comment added by 82.2.54.180 (talk • contribs) 22:47, 20 April 2007

[edit] Antibiotics and crusts

Quote: "It is very important to remove the crusts before applying ointment, because the bacteria that cause the disease live underneath them." Are there any sources available for this statement? I can only give anecdotal proof that this is not true because i was sick with impetigo some years ago and didn't have to remove the crust, but I think you should check the validity of the statment. I used the antibiotic cloramphenicole (I hope it's like that in english), if that makes any difference. Additionally, i bet that most antibiotics are able to reach bacteria even beneath crusts if they are lipophile enough, but again, i don't have any reliable sources for my remarks, but perhaps it helps improving the article, though. Greets from germany. 84.188.202.97 15:21, 6 November 2007 (UTC)

I agree. In fact, I was recently treated for impetigo and prescribed mupirocin; rememebering this wiki, I asked the prescribing MD whether I should remove crusts first and she said no. I also asked the pharmacist and he said yes; it may have been that the MD was wrong, but there needs to be a source for this. 152.130.6.130 (talk) 20:11, 15 January 2008 (UTC)